Provider Demographics
NPI:1841346509
Name:AUSTIN, DAWN MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MARIE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15500 E. BRONCOS PARKWAY
Mailing Address - Street 2:SUITE F
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-7112
Mailing Address - Country:US
Mailing Address - Phone:720-638-8131
Mailing Address - Fax:720-612-7694
Practice Address - Street 1:15500 E. BRONCOS PARKWAY
Practice Address - Street 2:SUITE F
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-7112
Practice Address - Country:US
Practice Address - Phone:720-638-8131
Practice Address - Fax:720-612-7694
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229621223G0001X
CO9310122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice